Poole Dermatology A Professional Medical Corporation
LBN: Poole Dermatology A Professional Medical Corporation
Poole Dermatology A Professional Medical Corporation is an health care organization with primary practice located at 111 Veterans Memorial Blvd Suite #406, Metairie LA 70005-3028. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Poole Dermatology A Professional Medical Corporation can be contacted via phone (504) 838-8225, or through Poole, Jeffrey C via phone (504) 838-8225.
Contact Information
Primary practice address
111 Veterans Memorial Blvd Suite #406
Metairie LA 70005-3028
Phone: (504) 838-8225
Fax: (504) 838-8233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD021909 | Louisiana |
Profile Details
| NPI number | 1215151790 |
|---|---|
| LBN Legal business name | Poole Dermatology A Professional Medical Corporation |
| DBA Doing business as | |
| Authorized official | Poole, Jeffrey C Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Aug 26th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215151790 | NPPES |
| Louisiana | MEDICAID | 1576387 |
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